摘要
目的 了解不同文化水平的系统性红斑狼疮（SLE）患者对使用激素的认知、态度和行为状况,分析相关影响因素.方法 对2012年7月～2013年8月住院的120例不同文化水平的SLE患者,采用自行设计的问卷进行对激素知信行的调查.结果 不同文化水平的SLE患者对激素的认知、态度、行为有明显差异.在认知方面,大专以上文化组、初高中文化组和小学文化组平均得分分别为11.875、10.85、6.325分;态度方面,分别为3.7、3.075、2.425分;行为方面,分别是5.075、5.825、5.2分.结论 SLE患者总体对激素的认知水平中等,态度、行为在中低水平,直接影响患者的治疗和预后.不同文化水平患者的认知、态度和行为有明显差异：文化程度高者,对疾病知识掌握较多,但存在自主改变治疗方案的现象,影响系统治疗的效果;文化程度低者,对疾病知识掌握少,对激素了解不够详细,存在有病乱投医现象,或因担心副作用而自行停换药.今后应该加强对患者健康知识宣教,提高患者对激素的认知,改善用药态度,积极配合医生治疗,提高治疗效果.
Objective To discuss the cognition,altitude and behavior of the patients with systemic lupus erythematosus（SLE） on the use of hormone and to analyze related influence factom.Methods A self-made questionnaire was performed in 120 cases with SLE hospitalized in the period from July,2012 to Aug.,2013 for an investigation of their cognition,altitude and behavior on the use of hormone,who was of different degrees of education.Results There existed an obvious difference in cognition,altitude and behavior among the patients with SLE of different degrees of education; the average scores of cognition in patients of educational degree of college,junior middle school and primary school were 11.875,10.85 and 6.325,respectively;the average scores of altitude were 3.7,3.075 and 2.425,respectively and the average scores of behavior were 5.075,5.825 and 5.2,respectively.Conclusions The cognition of all the patients with SLE on use of hormone is at medium level,while their altitude and behavior is at middle-lower level,which has a direct impact on the treatment and prognosis;there exists a obvious difference in cognition,altitude and behavior among the patients of different degrees of education; as the patients of higher degree of education have a better understanding of the disease,they may make changes to the therapeutic plan on their own,as a result,the curative effect may be impacted;the patients of lower degree of education are of a poorer understanding of use of hormone and they may stop drug administration by their own in fear of side effects ;it is important to strengthen health education of the patients so as to raise their cognition on hormone and to make positive cooperation with doctors for a better curative effect.
出处
《西南国防医药》
CAS
2014年第9期1037-1039,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
系统性红斑狼疮
激素
认知
行为
影响因素
systemic lupus erythematosus （SLE）
hormone
cognition
behavior
influence factor
